Urgency Incontinence Assessment

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Which of the following is a symptom in the Urogenital Distress Inventory (UDI-6)?

Frequent urination (correct)

Difficulty concentrating for more than 30 minutes

Sensitivity to bright lights

Pain or discomfort in the upper back

What is the scoring range for each item in the Urogenital Distress Inventory (UDI-6)?

1 to 4

1 to 10

0 to 3 (correct)

0 to 5

In the context of stress incontinence, when might a person experience a leak of urine?

When feeling hungry

When coughing, sneezing, or laughing (correct)

When sitting down

When reading a book

Which medical condition can lead to functional incontinence?

Osteoarthritis Signup and view all the answers

Which of the following symptoms is relevant to the obstetric and gynecological history with respect to urinary incontinence?

Symptoms of pelvic organ prolapse Signup and view all the answers

Which category of medications could worsen urinary incontinence?

Antidepressants Signup and view all the answers

What should be assessed during neurological examination relevant to urinary incontinence?

Cognitive screening and gait assessment Signup and view all the answers

What type of examinations require gaining consent and offering to have a chaperone present?

Rectal examination, vaginal exam, and speculum exam Signup and view all the answers

What initial investigations should be performed for assessing urinary incontinence?

Urinalysis and midstream urine test (MSU) Signup and view all the answers

What is the first-line treatment for urinary incontinence?

Lifestyle management and behavioral therapy Signup and view all the answers

Which further investigations may be considered for assessing urinary incontinence?

Urodynamic testing and cystoscopy Signup and view all the answers

Which blood test is relevant for assessing urinary incontinence?

Full blood count (FBC) Signup and view all the answers

What is the purpose of bladder training?

To decrease the time intervals between voiding Signup and view all the answers

What is the primary action of anticholinergics in managing urinary incontinence?

Blocking muscarinic receptors on the detrusor muscle Signup and view all the answers

What is the recommended first-line management for women with urinary incontinence?

Bladder training and lifestyle management Signup and view all the answers

What is the effect of β3 (beta 3)-agonists in managing urinary incontinence?

Enhancing relaxation of the detrusor muscle Signup and view all the answers

What can exacerbate urinary incontinence and should be managed by increasing fiber intake or considering laxatives?

Constipation Signup and view all the answers

For what type of patients are bulking agents usually reserved in the management of urinary incontinence?

Patients with stress urinary incontinence Signup and view all the answers

What is a symptom complex consisting of urgency (with or without incontinence), nocturia, and frequency of urine, in the absence of a pathology?

Idiopathic overactive bladder Signup and view all the answers

What should be examined in men with urinary incontinence to assess for a potential contributing factor?

Digital rectal examination (DRE) Signup and view all the answers

What is the purpose of pelvic floor muscle training (PFMT)?

To reduce stress urinary incontinence Signup and view all the answers

What should be considered if benign prostatic hyperplasia (BPH) does not respond to medical treatment?

Surgical resection referral to urology Signup and view all the answers

What can be helpful if suspicion of a prostate pathology arises?

DRE and PSA test Signup and view all the answers

What should be used with caution when prescribed due to its potential to precipitate orthostatic hypotension?

BPH targeted therapy Signup and view all the answers

What should be assessed when taking the history of presenting complaint related to incontinence?

History of recurrent urinary tract infections and bowel function Signup and view all the answers

What is a common symptom to inquire about when assessing urgency incontinence?

Frequency of passing urine during the day Signup and view all the answers

What might be indicative of potential urological malignancy?

Dysuria and hematuria Signup and view all the answers

How can alcohol and caffeine intake affect urgency incontinence?

They can increase the frequency of passing urine Signup and view all the answers

What role does mobility play in assessing urgency incontinence?

It affects the person's ability to make it to the toilet in time Signup and view all the answers

What should be determined regarding recurrent urinary tract infections?

Whether they have been microbiologically confirmed infections or diagnosed on symptoms alone Signup and view all the answers

Why is it important to assess bowel function when evaluating incontinence?

Chronic constipation can impede complete bladder voiding Signup and view all the answers

What might indicate a strong urge to pass urine?

Passing urine several times during the day Signup and view all the answers

What could be an indicator of overflow incontinence?

Failing to make it to the toilet in time at night Signup and view all the answers

What is a potential indicator of potential urological malignancy?